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Home » Depression or other negative emotions upon milk let-down (D-MER)

Depression or other negative emotions upon milk let-down (D-MER)

A small percentage of breastfeeding mothers experience feelings of depression (or anxiety, homesickness, agitation or anger) beginning immediately before their milk lets down. This is called Dysphoric Milk Ejection Reflex, or D-MER. According to D-MER.org, “Dysphoric Milk Ejection Reflex is a condition affecting lactating women that is characterized by an abrupt dysphoria, or negative emotions, that occur just before milk release and continuing not more than a few minutes.” This is a physiological response (not a psychological response) that appears to be tied to a sudden decrease in the brain chemical dopamine immediately before milk let-down.

Following are some resources for more information:

D-MER.org is a website devoted to information about Dysphoric Milk Ejection Reflex

Dysphoric Milk Ejection Reflex (D-MER) from the Australian Breastfeeding Association

Heise AM, Wiessinger D. Dysphoric milk ejection reflex: A case report. Int Breastfeed J. 2011 Jun 6;6(1):6.

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Cox S. A case of dysphoric milk ejection reflex (D-MER). Breastfeed Rev. 2010 Mar;18(1):16-8.

Updated on January 15, 2018Filed Under: BF Concerns: Mother

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    • Translations
      ▼
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    • Sponsors
      ▼
      • Become a sponsor
      • Previous Sponsor Posts
  • Hot Topics
    ▼
    • COVID-19
  • Pregnancy
    ▼
    • Preparing to Breastfeed
    • Breastfeeding when pregnant
  • Breastfeeding
    ▼
    • Got Milk?
    • What is Normal?
    • Can I Breastfeed if…?
      ▼
      • Lifestyle choices
      • Illness, Surgery & Medical Procedures
      • Medications & Vaccines
      • Herbs/natural treatments
      • Chemical exposure
    • Common Concerns
      ▼
      • Child Concerns
      • Mother’s Concerns
      • Finding Help
      • Legal issues
    • Pumping & Employment
      ▼
      • Pumping & supply
      • Feeding baby
      • Milk handling/storage
      • Employed moms
    • Advocacy
  • Ages & Stages
    ▼
    • Adoptive BF/ Relactation
    • Premature Infant
    • Newborn
      ▼
      • Breastfeeding Basics
      • Common Newborn Concerns
      • Newborn Challenges
    • Older Infant
    • After the First Year
    • Tandem Breastfeeding
    • Weaning
      ▼
      • Considering weaning
      • How to wean
  • Parenting
    ▼
    • Parenting FAQ
    • Nighttime parenting
    • Reviews
    • Fun
      ▼
      • Humor & Wisdom
      • Trivia
  • Health
    ▼
    • Baby’s Health
    • Growth & Development
    • Mom’s Health
    • Can I Breastfeed if…?
  • Nutrition
    ▼
    • Solid Foods
    • Mother’s Diet
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    • Milk
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    • Free Handouts